The IMPACT-care project

Improved Medication Information and Patient Involvement At Care Transitions" (IMPACT-care) is a project aimed at improving communication about medications upon hospital discharge in order to increase patient safety and reduce healthcare-associated adverse events associated.

The lack of follow-up of medication treatment after hospital discharge is a common reason for healthcare-associated adverse events.

Medications cause up to half of all hospital admissions due to, for example, side effects, poor adherence to treatment and inappropriate prescriptions. Older patients with a high disease burden, often with complex medication therapy, as a result, have a particularly high risk of adverse medication events. The transition of care process, for example when a patient is transferred from a hospital ward to home, is especially critical in terms of patient safety. There is a high risk that an adverse event related to the patient's medication therapy will occur. The events are often due to poor communication and shortcomings in the follow-up of medication changes performed during hospital admission. We have also observed these inadequacies in communication upon hospital discharge in an ongoing study conducted by our research group, MedBridge  which aims to evaluate the effects of hospital-initiated, comprehensive medication reviews, including active follow-up on the utilisation of healthcare amongst older persons.

Purpose of the project

We started this project in the autumn of 2019, which aims to improve communication about medications for older patients upon hospital discharge and to increase the patient involvement in the process. The final objective is to develop a new, improved working process for hospital discharge of older patients.

Who is conducting the project?

The project is a collaboration between the Region Uppsala, Region Västmanland, participants from senior- and carer organisations, the Department of Pharmaceutical Biosciences, the Department of Medical Sciences and the Department of Public Health and Caring Sciences at Uppsala University.

The participants in the project group consist of a mix of researchers, clinical professionals from different professions and participants from senior/carer organisations. We are also involving participants from senior/carer organisations continuously, with the aim of constantly adding the patient and carer perspective within the project.

For more detailed information about the participants, click here.

How the project will be conducted

This project is divided into three stages:

Subproject 1: To characterise how communication about medications is conducted upon discharge. This will be performed through analysis of how the follow-up of the medication treatment was conducted in the MedBridge study.  The survey will also include interviews with healthcare professionals where we let them describe how they communicate about medications upon discharge.

Sub-project 2: To conduct an interview and observational study with healthcare professionals and patients/carers, which aims to characterise what an improved working process for communication about medications would involve and how to implement this working process.

Sub-project 3: To conduct an intervention study where we will compare the new working process with the current way of working. In this way we will evaluate if the new working process increases patient safety.

Expected benefits with the project

Patients, together with their primary care physician (GP), need better conditions in order to be able to take over the responsibility of the medication treatment after a hospital admission.

A lot of new knowledge will emerge from our project and we expect that an improved process of working upon hospital discharge will be developed. This improved process will ensure that information about medications reaches the patient and primary care physicians, in order to create the right conditions for optimal treatment results and increase patient safety. We also expect this improved process to result in fewer emergency room visits and hospitalisations.

Publication of results and funding

The results of the project will be published in reports and scientific journals continuously throughout the project. We will post links to the publications on this website, so be sure to check in here again.

This project is funded through the Kamprad Family Foundation for Entrepreneurship, Research & Charity.